Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10124 | Date 01/11/2025 |
| Token No | SM/25-26/9849 03/11/2025 | Serial | 022 |
| Patient Name | Mr. PRADIP KUMAR PRASAD | Contact No | 8961243179 |
| Address | 1/B/2 N C PAKRASHI LANE RISHRA 712248 | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||